Individual
BLANCA NAYELY MUNOZ JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 NW MALL ST STE 2, ISSAQUAH, WA 98027-7900
(206) 380-3009
Mailing address
4228 213TH PL SE # 26, ISSAQUAH, WA 98029-9700
(425) 654-9064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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